Effects of Consumption of Energy-Restricted Lunch Boxes and Nutrition Education on Nutritional Status among Overweight and Obese Students and Staff of the Valaya Alongkorn Rajabhat University, Thailand
DOI:
https://doi.org/10.36570/jduhs.2023.1.1766Keywords:
Energy Restriction, Nutritional Counseling, Nutritional Status, Overweight, Weight LossAbstract
Objective: To study the effect of providing energy-restricted lunch boxes (ERLB) and provision of nutrition education (NE) to overweight and obese students and staff of the Valaya Alongkorn Rajabhat University on weight loss.
Methods: This research was a randomized clinical trial conducted for 4 weeks between November – December 2019 at VRU. The participants were over weight and obese VRU students and staff. Participants were divided into 2 groups consisting of i) a group that received only ERLB, and ii) a group that received ERLB along with NE. The participants in both groups were given an ERLB which was suitable to their energy requirement for 4 weeks (400, 500, and 600 kcal). Nutritional status and nutrition knowledge were determined at baseline and week 4.
Results: Of 30 participants, 22 (73.3%) staff and 8 (26.7%) students aged between 18-59 years. The group that received the ERLB+NE had 16 participants while the group that received only the ERLB had 14 participants. The results showed that a group that received ERLB+NE significantly reduced waist circumference (p-value 0.017), body weight (p-value <0.001), percentage body fat (p-value 0.004), muscle mass (p-value 0.013), body mass index (p-value < 0.001), and visceral fat (p-value 0.003), while the group that received only ERLB did not show any change in body weight and other.
Conclusion: The results demonstrated that energy restriction together with nutrition education is effective in reducing weight and other weight-related indicators such as waist circumference, body weight, percentage body fat, muscle mass, body mass index, and visceral fat.
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References
World Health Organization, Regional Office for Europe. WHO European Regional Obesity Report 2022; World Health Organization, Regional Office for Europe: Copenhagen, Denmark, 2022.
World Health Organization. World obesity day 2022 – Accelerating action to stop obesity World Health Organization; 2022. [Internet]. Updated 2022 March 4; cited 2022 September 18. Available from: https://www.who.int/news/item/04-03-2022-world-obesity-day-2022-accelerating-action-to-stop-obesity.
Health Systems Research Institute (HSRI). The 6th Thai people's health survey by physical examination, 2019-2020 [Internet]. Health Systems Research Institute; 2021 [cited 2022 September 18]. Available from: https://www.hiso.or.th/hiso/picture/reportHealth/report/sreport6/sreport6_full.pdf.
Wright S M, Aronne L J. Causes of obesity. Abdom Imag-ing 2012; 37:730-2. doi:10.1007/s00261-012-9862-x
Thai Health Promotion Foundation. Thai people are the second most obese in ASEAN Thai Health Promotion Foundation; 2014. [Internet] Available from: https://www.thaihealth.or.th/?p=276173.
Waratornpaibul T. Consumption behavior: consumerism food and health-conscious food. Panyapiwat J 2014; 5:255-64.
Mohammadbeigi A, Asgarian A, Moshir E, Heidari H, Afrashteh S, Khazaei S, et al. Fast food consumption and overweight/obesity prevalence in students and its association with general and abdominal obesity. J Prev Med Hyg 2018; 59: E236–E40.
doi:10.15167/2421-4248/jpmh2018.59.3.830
Sungpuag P, Sirichakwal P, Viriyapanit T. Low energy diet. J Ecos Persp 1997; 2:73-6.
Vasiloglou MF, Fletcher J, Poulia KA. Challenges and perspectives in nutritional counselling and nursing: A Narrative Review. J Clin Med 2019; 8:1489. doi:org/10.3390/jcm8091489
Brand Buffet. Thailand Health & Well Being Trend 2017. [Internet]. [cited 2022 September 18]. Available from: https://www.brandbuffet.in.th/2017/04/thailand-health-well-being-trend-2017/.
Sangwanna S, Phuphum J, Jansaard J, Changto T, Kraijaitrong A. Nutrition status of undergraduate students of Valaya Alongkorn Rajabhat University under the royal patronage. Poster session presented at the 6th Annual Conference of Science and Technology 2018, Samut Prakan, Thailand.
World Health Organization. The Asia-Pacific perspective: Redefining obesity and its treatment. Melbourne: International Diabetes Institute, 2000. Available from: https://apps.who.int/iris/handle/10665/206936
Lwanga SK, Lemeshow S. Sample Size Determination in Health Studies: A Practical Manual. Geneva: World Health Organization; 1991.
Pavlidou E, Papadopoulou SK, Seroglou K, Giaginis C. Revised harris–benedict equation: new human resting metabolic rate equation. Metabolites 2023; 13:189. doi:org/10.3390/metabo13020189
Yamauchi K, Katayama T, Yamauchi T, Kotani K, Tsuzaki K, Takahashi K, et al. Efficacy of a 3-month lifestyle intervention program using a Japanese-style healthy plate on body weight in overweight and obese diabetic Japanese subjects: a randomized controlled trial. Nutr J 2014; 13:108. doi:10.1186/1475-2891-13-108
Hutchesson MJ, Collins CE, Morgan PJ, Watson JF, Guest M, Callister R. Changes to dietary intake during a 12-week commercial web-based weight loss program: a randomized controlled trial. European J Clin Nutr 2014; 68:64-70. doi:10.1038/ejcn.2013.194
Pozo S, Gordillo J, Sanclemente G, Toral L, Gonzalez W, Delgado M. Change in the food pattern and its effects on the nutritional status of the indigenous population migrant Puruha (P04-045-9). Curr Dev Nutr 2019; 3:219-220. doi:10.1093/cdn/nzz051.P04-045-19
Rolls BJ, Morris EL, Roe LS. Portion size of food affects energy intake in normal-weight and overweight men and women. Am J Clin Nutr 2002; 76:1207-13. doi:10.1093/ajcn/76.6.1207
Te Morenga LA, Howatson AJ, Jones RM, Mann J. Dietary sugars and cardiometabolic risk: systematic review and meta-analyses of randomized controlled trials of the effects on blood pressure and lipids. Am J Clin Nutr 2014; 100:65-79. doi:10.3945/ajcn.113.081521
Ide H, Tsukada S, Asakura H, Hattori A, Sakamaki K, Lu Y, et al. A Japanese box lunch bento comprising functional foods reduce oxidative stress in men: a pilot study. Am J Mens Health 2022; 16. doi:10.1177/15579883221075498
Pham K, SKY J, Hill R, Haynes A, Pak S, A Shah S. Impact of vegan meal kits on cardiometabolic endpoints: a randomized, controlled clinical trial. Circulation 2022; 146:A15086.
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